Combined 585 nm pulsed-dye and 1,064 nm Nd
Background and Objective Basal cell carcinomas (BCCs) have supporting vasculature that serves as a target for vascular selective lasers. The objective of this study was to determine the effect of repeated treatment with a combined 585 nm pulsed dye laser (PDL) and 1,064 nm Neodymium Yttrium Aluminum...
محفوظ في:
| المؤلف الرئيسي: | |
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| مؤلفون آخرون: | , , , |
| التنسيق: | article |
| منشور في: |
2014
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| الوصول للمادة أونلاين: | http://hdl.handle.net/10725/6569 http://dx.doi.org/1002/lsm.22201 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://onlinelibrary.wiley.com/doi/10.1002/lsm.22201/full |
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| _version_ | 1864513480257699840 |
|---|---|
| author | Tannous, Zeina |
| author2 | Shofner, Joshua D. Jalian, Ray H. Avram, Mathew M. Stankiewicz, Kelly J. |
| author2_role | author author author author |
| author_facet | Tannous, Zeina Shofner, Joshua D. Jalian, Ray H. Avram, Mathew M. Stankiewicz, Kelly J. |
| author_role | author |
| dc.creator.none.fl_str_mv | Tannous, Zeina Shofner, Joshua D. Jalian, Ray H. Avram, Mathew M. Stankiewicz, Kelly J. |
| dc.date.none.fl_str_mv | 2014 2017-11-10T07:36:59Z 2017-11-10T07:36:59Z 2017-11-10 |
| dc.identifier.none.fl_str_mv | 1096-9101 http://hdl.handle.net/10725/6569 http://dx.doi.org/1002/lsm.22201 Jalian, H., Avram, M. M., Stankiewicz, K. J., Shofner, J. D., & Tannous, Z. (2014). Combined 585 nm pulsed‐dye and 1,064 nm Nd: YAG lasers for the treatment of basal cell carcinoma. Lasers in surgery and medicine, 46(1), 1-7. http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://onlinelibrary.wiley.com/doi/10.1002/lsm.22201/full |
| dc.language.none.fl_str_mv | en |
| dc.relation.none.fl_str_mv | Lasers in Surgery and Medicine |
| dc.rights.*.fl_str_mv | info:eu-repo/semantics/openAccess |
| dc.title.none.fl_str_mv | Combined 585 nm pulsed-dye and 1,064 nm Nd YAG lasers for the treatment of basal cell carcinoma |
| dc.type.none.fl_str_mv | Article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/article |
| description | Background and Objective Basal cell carcinomas (BCCs) have supporting vasculature that serves as a target for vascular selective lasers. The objective of this study was to determine the effect of repeated treatment with a combined 585 nm pulsed dye laser (PDL) and 1,064 nm Neodymium Yttrium Aluminum Garnet (Nd:YAG) laser on BCCs of superficial and nodular subtypes of varying diameters. Study Design/Materials and Methods Ten subjects with 13 biopsy-proven BCCs received four combined PDL and Nd:YAG at treatments 2–4 week intervals. None of the BCCs met the criteria for Mohs micrographic surgery. The tumor and 4 mm of peripheral skin were treated using standardized parameters delivered with a 7 mm spot with 10% overlap. The treated area was excised and evaluated histologically for residual tumor. The primary study endpoint was histologic clearance of tumor. The secondary study endpoint was blinded investigator assessment of clinical endpoint and adverse effects. Results Approximately half of all tumors showed a complete response to four combined PDL and Nd:YAG treatments (n = 7/12, 58%). When stratified by size, 75% of all tumors <1 cm in diameter (n = 6/8) showed complete response. Tumor histologic types among the complete responders included superficial and nodular BCCs. All subjects with incompletely responding BCCs were on various forms of anticoagulation, which we hypothesize, may inhibit laser-mediated thrombosis necessary for the clinical effect. Blinded investigator assessment suggests that biopsy related erythema improves with subsequent laser treatments. Conclusions Combined PDL and Nd:YAG laser is an effective means of reducing tumor burden in patients with BCC and may be a promising, emerging alternative therapy. Factors influencing treatment response includes the concomitant use of anticoagulation. Further studies are needed to investigate and optimize the utility of this treatment protocol. Lasers Surg. Med. 46:1–7, 2014. © 2013 Wiley Periodicals, Inc. |
| eu_rights_str_mv | openAccess |
| format | article |
| id | LAURepo_08c3d804c28bc531bb23c8a64662ee9d |
| identifier_str_mv | 1096-9101 Jalian, H., Avram, M. M., Stankiewicz, K. J., Shofner, J. D., & Tannous, Z. (2014). Combined 585 nm pulsed‐dye and 1,064 nm Nd: YAG lasers for the treatment of basal cell carcinoma. Lasers in surgery and medicine, 46(1), 1-7. |
| language_invalid_str_mv | en |
| network_acronym_str | LAURepo |
| network_name_str | Lebanese American University repository |
| oai_identifier_str | oai:laur.lau.edu.lb:10725/6569 |
| publishDate | 2014 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| spelling | Combined 585 nm pulsed-dye and 1,064 nm NdYAG lasers for the treatment of basal cell carcinomaTannous, ZeinaShofner, Joshua D.Jalian, Ray H.Avram, Mathew M.Stankiewicz, Kelly J.Background and Objective Basal cell carcinomas (BCCs) have supporting vasculature that serves as a target for vascular selective lasers. The objective of this study was to determine the effect of repeated treatment with a combined 585 nm pulsed dye laser (PDL) and 1,064 nm Neodymium Yttrium Aluminum Garnet (Nd:YAG) laser on BCCs of superficial and nodular subtypes of varying diameters. Study Design/Materials and Methods Ten subjects with 13 biopsy-proven BCCs received four combined PDL and Nd:YAG at treatments 2–4 week intervals. None of the BCCs met the criteria for Mohs micrographic surgery. The tumor and 4 mm of peripheral skin were treated using standardized parameters delivered with a 7 mm spot with 10% overlap. The treated area was excised and evaluated histologically for residual tumor. The primary study endpoint was histologic clearance of tumor. The secondary study endpoint was blinded investigator assessment of clinical endpoint and adverse effects. Results Approximately half of all tumors showed a complete response to four combined PDL and Nd:YAG treatments (n = 7/12, 58%). When stratified by size, 75% of all tumors <1 cm in diameter (n = 6/8) showed complete response. Tumor histologic types among the complete responders included superficial and nodular BCCs. All subjects with incompletely responding BCCs were on various forms of anticoagulation, which we hypothesize, may inhibit laser-mediated thrombosis necessary for the clinical effect. Blinded investigator assessment suggests that biopsy related erythema improves with subsequent laser treatments. Conclusions Combined PDL and Nd:YAG laser is an effective means of reducing tumor burden in patients with BCC and may be a promising, emerging alternative therapy. Factors influencing treatment response includes the concomitant use of anticoagulation. Further studies are needed to investigate and optimize the utility of this treatment protocol. Lasers Surg. Med. 46:1–7, 2014. © 2013 Wiley Periodicals, Inc.PublishedN/A2017-11-10T07:36:59Z2017-11-10T07:36:59Z20142017-11-10Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article1096-9101http://hdl.handle.net/10725/6569http://dx.doi.org/1002/lsm.22201Jalian, H., Avram, M. M., Stankiewicz, K. J., Shofner, J. D., & Tannous, Z. (2014). Combined 585 nm pulsed‐dye and 1,064 nm Nd: YAG lasers for the treatment of basal cell carcinoma. Lasers in surgery and medicine, 46(1), 1-7.http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.phphttp://onlinelibrary.wiley.com/doi/10.1002/lsm.22201/fullenLasers in Surgery and Medicineinfo:eu-repo/semantics/openAccessoai:laur.lau.edu.lb:10725/65692021-03-19T10:03:27Z |
| spellingShingle | Combined 585 nm pulsed-dye and 1,064 nm Nd Tannous, Zeina |
| status_str | publishedVersion |
| title | Combined 585 nm pulsed-dye and 1,064 nm Nd |
| title_full | Combined 585 nm pulsed-dye and 1,064 nm Nd |
| title_fullStr | Combined 585 nm pulsed-dye and 1,064 nm Nd |
| title_full_unstemmed | Combined 585 nm pulsed-dye and 1,064 nm Nd |
| title_short | Combined 585 nm pulsed-dye and 1,064 nm Nd |
| title_sort | Combined 585 nm pulsed-dye and 1,064 nm Nd |
| url | http://hdl.handle.net/10725/6569 http://dx.doi.org/1002/lsm.22201 http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php http://onlinelibrary.wiley.com/doi/10.1002/lsm.22201/full |